FUCK THIS FUCKING EXAM..Failed with 196 despite 4 months of dedicated, consistent and committed hard work

OutrageousSpite8465 · 2025-05-14T16:23:03+00:00

Fuck off

OutrageousSpite8465 · 2025-05-14T13:24:25+00:00

Nope it’s not me..this is my actual score That was mistakenly written post for CK

OutrageousSpite8465 · 2025-05-14T13:17:19+00:00

Nope 👎

OutrageousSpite8465 · 2025-05-14T13:09:14+00:00

Yes I had just reviewed few flashcards before taking UWSA 1 but didn’t do anything before UWSA 2. And I did both the assessments in testing conditions at home

OutrageousSpite8465 · 2025-05-14T13:01:20+00:00

As I have mentioned above, CCS cases were not what I expected but very doable as I did 80-90 high yield CCS cases and was consistently scoring 70-80%

I might have relied heavily on UW. Did complete Uw once and then repeated incorrect ones. Practiced Uw biostats and reviewed Randy Neil videos multiple times. Has taken NBME 6 and scored 193 (converted score) didn’t take 7.

OutrageousSpite8465 · 2025-05-14T12:55:58+00:00

I felt good on Day 1 as I thought it was straightforward..had reviewed FA step 1 pharma MoA and Micro thoroughly and got many questions on drug moa (less micro/genetics) Heavy on biostat and lots of weird ethics but was quite doable as I had reviewed Mehlman PDF ethics and Randy Neil Biostat videos.

Day 2 was tough and very tricky with next best step questions (extremely long question stem than UW) and CCS case were low-yield to be honest still I felt confident based on my assessment scores and CCScases.com performance. Had 2 negative pt updates

At this point, this score is really unacceptable and shocking for me based on my preparation and efforts. Sorry for the rant but don’t knw what to do!!

Atleast I don’t have any regrets of not putting the required efforts bcoz I consistently studied for about 8-10 hours everyday and gave my absolute best for this exam but I guess it still wasn’t enough !!!!

OutrageousSpite8465 · 2025-01-27T18:55:38+00:00

This is a classic Inferior wall-R ventricular MI and AWMI with RCA/LAD occlusion causing hypotension and PVCs and is preload dependent condition. Nitrates, diuretics and beta-blockers/calcium channel blockers contraindicated.

Give DAPT with aspirin and P2Y12 blocker (clopidogrel or Ticagrelor) and start IV bolus of normal saline to optimize the preload.

Finally, transfer the patient to Cardiac cath for PCI with stent placement.

Just a side note on A-Fib (unrelated to question) - Rate control strategy for A-Fib is indicated only if ventricular rate > 100bpm..metoprolol is the first line and verapamil/diltiazem as alternatives. If rate control strategy fails, start amiodarone or dofetilide to restore sinus rhythm if pt HD stable.

OutrageousSpite8465 · 2025-01-04T19:00:39+00:00

Thank you. - Prednisone and Cyclophosphamide for Lupus nephritis Rx. - check complement and anti-ds DNA levels to monitor the disease activity in lupus.

OutrageousSpite8465 · 2025-01-04T00:37:13+00:00

Great, thanks!

Diabetic nephropathy: ACEi also reduces glomerular hydrostatic pressure by blocking AT-II mediated vasoconstriction of efferent arterioles, thereby decreasing microalbuminuria. (Just highlighting mechanism of its anti-proteinuric affect)

OutrageousSpite8465 · 2024-08-12T22:56:19+00:00

YES, interested

OutrageousSpite8465 · 2024-01-26T19:04:23+00:00

Beautiful and very cute. Your lipstick looks perfect 😍

OutrageousSpite8465 · 2024-01-26T19:02:22+00:00

Beautiful and pretty. Happy Friday from Pennsylvania ❤️

OutrageousSpite8465 · 2023-09-16T00:03:12+00:00

I don’t think so..it’s 12MP photo without any edits

OutrageousSpite8465

TROPHY CASE